Evidence map›Paper›PMID 41162942›Full record

ReviewBMC nursing2025

Prevalence and determinants of work-related stress among nurses in Ethiopia: a systematic review and meta-analysis.

Mulualem Gete Feleke, Tadele Lankrew Ayalew, Kidist Ashager, Hailu Asmare Beyene, Moges Wubneh Abate, Nigusie Selomon Tibebu

Abstract readReview
In one paragraph

Review in BMC nursing, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Mulualem Gete FelekeSchool of Nursing, College of Medicine and Health Sciences, Wolaita Sodo University, Sodo, Ethiopia. mulugetagete86@gmail.com.
Tadele Lankrew AyalewSchool of Nursing, College of Medicine and Health Sciences, Wolaita Sodo University, Sodo, Ethiopia.
Kidist AshagerSchool of Nursing, College of Medicine and Health Sciences, Wolaita Sodo University, Sodo, Ethiopia.
Hailu Asmare BeyeneSchool of Nursing, College of Medicine and Health Sciences, Wolaita Sodo University, Sodo, Ethiopia.
Moges Wubneh AbateDepartments of Adult Health Nursing, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Nigusie Selomon TibebuDepartments of Pediatrics and Child Health Nursing, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWork-related stress is a growing global concern among nurses, affecting professional performance and health system outcomes. In Ethiopia, evidence is fragmented. This review aimed to estimate the pooled prevalence of work-related stress among nurses in Ethiopia and identify its associated factors.

methodsWe systematically searched PubMed, Embase, Scopus, Web of Science, and Google Scholar for observational studies published up to April 30, 2025. Eligible studies reporting the prevalence or determinants of work-related stress among nurses in Ethiopia. The review was conducted and reported following the PRISMA 2020 guidelines; the PRISMA 2020 Abstract Checklist is provided as Appendix 1. Two reviewers independently screened, extracted data, and assessed study quality using the JBI Critical Appraisal Checklist. A random-effects model was used to calculate pooled prevalence and adjusted odds ratios (AORs). Subgroup and sensitivity analyses were conducted. Heterogeneity was assessed using the I² statistic, and publication bias was evaluated using funnel plots and Egger’s test.

resultsThirteen studies involving 3,702 nurses across multiple Ethiopian regions were included. The pooled prevalence of work-related stress was 47.84% (95% CI: 46.28–49.41%, I2 = 93.4). Significant associated factors included shift work (AOR = 2.68), working in emergency units (AOR = 5.95), intensive care (AOR = 6.33), less than five years of experience (AOR = 4.41), and having children (AOR = 2.13).

conclusionNearly one in two nurses in Ethiopia experiences work-related stress. Occupational and personal factors contribute substantially to this burden. Interventions such as improved scheduling, support for high-risk units, and early-career mentoring are recommended. Future longitudinal and interventional studies are needed to inform workforce policy and improve nurse well-being. CLINICAL TRIAL NUMBER: Not applicable.

Indexed as

EthiopiaMeta-analysisNursesWork-related stress

Identifiers

PMID41162942
PMCPMC12573818

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.